Odette Olivieri, MD
Individual provider Active NPI Pediatrics Physician · Ponce, PR
NPI 1497863807 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497863807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 11155 (PR)
- Practice address
- Urb Industrial Reparada
Ana D Perez Marchand St.
Ponce, PR 00731 - Phone
- (787) 840-0297
- NPI assigned
- Aug 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11155 | PR | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11155 | PR | Yes |
Addresses
Primary practice location
Urb Industrial Reparada
Ana D Perez Marchand St.
Ponce, PR 00731
Mailing address
PO Box 801217
Coto Laurez, PR 00780
Phone (787) 396-1825
Other providers in Ponce, PR
- Rafael Efrain Oliveras-Rentas
- Adriana Oliveras
- Ana M Oliveras
- David Oliveras
- Suleyka Milagros Olivero-Rivera
- Gabriela Juliette Olmedo Vega I
- Rafael L Oms Rivera
- Sebastian Ongay Torres
- Open Care Wellness Center Ponce
- Optica del Sur
All providers in Ponce, PR · Pediatrics Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.